Individual
MR. SHONE DARNELL GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5800 AIRLINE DRIVE, METAIRE, LA 70003
(716) 983-2294
Mailing address
5800 AIRLINE DRIVE, METAIRE, LA 70003
(716) 983-2294
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001204
NY
Other
Enumeration date
11/08/2011
Last updated
08/19/2021
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